Provider Demographics
NPI:1184270886
Name:WHALE OF HOPE, INC.
Entity type:Organization
Organization Name:WHALE OF HOPE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:478-361-7815
Mailing Address - Street 1:2152 ZION HL
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-8847
Mailing Address - Country:US
Mailing Address - Phone:972-639-3776
Mailing Address - Fax:
Practice Address - Street 1:2152 ZION HL
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-8847
Practice Address - Country:US
Practice Address - Phone:972-639-3776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-18
Last Update Date:2019-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed ChildrenGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility